不典型胎盘早剥的临床诊断及治疗效果分析  

Analysis of Clinical Diagnosis and Treatment Effect of Atypical Placental Abruption

作　　者：马玮玮 MA Wei-wei(Department of Obstetrics and Gynecology,Lingcheng People's Hospital,Dezhou,Shandong Province,253500 China)

机构地区：[1]山东省德州市陵城区人民医院妇产科,山东德州253500

出　　处：《系统医学》2020年第8期105-107,共3页Systems Medicine

摘　　要：目的探究不典型胎盘早剥的临床诊断及治疗效果。方法抽取2018年8月—2019年8月在该院接受治疗的胎盘早剥患者78例,按照B超检验结果将78例患者平均分为两组,其中有39例为不典型胎盘早剥患者,39例为典型胎盘早剥患者,分别将其命名为不典型组和典型组。以2个月观察周期,观察两组患者体质检测报告,分析治疗临床诊断的治疗效果。结果典型组39例患者中,血纤维蛋白原进行性下降、血红蛋白进行性下降、血小板进行性下降率分别为74.35%、53.84%、43.58%。不典型组39例患者中,血纤维蛋白原进行性下降、血红蛋白进行性下降、血小板进行性下降率分别为48.71%、28.20%、23.07%,差异有统计学意义(P<0.05)。典型组患者剖宫产率、产后出血率、胎儿窘迫率、早产低体质量发生率分别为30.76%、10.25%、20.52%、12.82%,不典型组患者剖宫产率、产后出血率、胎儿窘迫率、早产低体质量发生率率分别为89.74%、28.20%、53.84%、28.20%,差异有统计学意义(χ^2=14.614,6.652,7.221,6.244,P<0.05)。结论典型组胎盘早剥患者血纤维蛋白原进行性下降、血红蛋白进行性下降、血小板进行性下降率比不典型组高,且典型胎盘早剥患者较不典型胎盘早剥患者剖宫产率、产后出血率、胎儿窘迫率、早产低体质量发生率低,在临床治疗过程中,应重视不典型胎盘早剥患者的诊断工作。Objective To explore the clinical diagnosis and treatment effect of atypical placental abruption.Methods A total of 78 patients with placental abruption who were treated in our hospital from August 2018 to August 2019 were selected.According to the results of b-ultrasound,78 patients were equally divided into two groups,of which 39 were atypical patients with placental abruption.Of the 39 patients with typical placental abruption,they were named atypical and typical.With a two-month observation period,the two groups of patients'physical examination reports were observed to analyze the therapeutic effect of the clinical diagnosis.Results Among the 39 patients in the typical group,the progressive decline in fibrinogen,hemoglobin,and platelet were 74.35%,53.84%,and 43.58%.Among the 39 patients in the atypical group,the rates of progressive decrease in fibrinogen,progressive decrease in hemoglobin,and progressive decrease in platelets were 48.71%,28.20%,and 23.07%,respectively(P<0.05).The cesarean section rate,postpartum hemorrhage rate,fetal distress rate,and premature low body weight incidence rates in the typical group were 30.76%,10.25%,20.52%,and 12.82%,respectively.The rates of birth rate,postpartum hemorrhage rate,fetal distress rate,and low body mass rate of preterm birth were 89.74%,28.20%,53.84%,28.20%respectively(χ^2=14.614,6.652,7.221,6.244,P<0.05).Conclusion The rate of progressive decrease in fibrinogen,the rate of progressive decrease in hemoglobin,and the rate of progressive decrease in platelets in patients with placental abruption in the typical group were higher than those in the atypical group.Bleeding rate,fetal distress rate,incidence of premature birth and body mass were low.In the clinical treatment process,attention should be paid to the diagnosis of patients with atypical placental abruption.

关 键 词：不典型胎盘早剥患者 临床诊断 治疗效果 

分 类 号：R714.2[医药卫生—妇产科学]